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CT abdomen and pelvis
Multiple enlarged necrotic perigastric  ,aortacaval and paraortic  region  lymph nodes. Multiple  enlarged  lymphnodes  are  seen  in  the  perigastric  ,aortacaval  and  paraortic region  with  central  non-enhancing  area  suggestive  of  necrosis  largest  of  these  measures 17 x 16 mm. Visualised  opacified  stomach  and    intestinal  loops  appears  normal.No  evidence  of  bowel wall thickening of luminal narrowing. What does this mean?
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Need further evaluation
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Kindly consult
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Need to see the full report . And also need to ask few symptoms too. But your quoted lines suggest that lymph nodes (masses) with necrosis are enlarged and it could be due to tuberculosis, need to be discussed .
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Kindly consult on instant practo .. and can guide you further .
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necrotic lymph node enlargement may be due to multiple causes, but you need to get proper diagnosis as they are highly suggestive of cancer , but there may be other aetiologies eg infectious (abdominal tb) etc so get proper assessment by a surgeon as more information is required eg your symptoms your general physical condition any fever associated any history of bleeding etc
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visit a surgeon as physical examination will also be required to reach a proper diagnosis
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do not delay. you can always consult on practo for second opinion or explanations.
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Can help you with the next course of action and treatment plan. Would like to discuss in details and provide apt solution. Kindly consult.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.